TANVIR MUSHTAQ (NPI# 1659700318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659700318 |
| Entity Type | Individual |
| Full Name | TANVIR MUSHTAQ |
| Credential | M.D. |
| Practice Address |
2055 W Army Trail Rd #104 Addison IL 60101-1478 |
| Practice Telephone | 6305995400 |
| Mailing Telephone | 6305995400 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 336094606 | IL | Other Service Providers |
| N | 174400000X | Specialist | 036133420 | IL | Other Service Providers |
| Street Address |
2055 W ARMY TRAIL RD #104 |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558694521 | Access Community Health Network | Clinic/Center | 2055 W Army Trail Rd, Addison, IL 60101-1478 | 2009-09-09 |
| 1689186827 | Erin Marie Lastres | Counselor | 2055 W Army Trail Rd, Addison, IL 60101-1478 | 2017-10-27 |
| 1902355316 | Legacy Medical Care Inc | Clinic/Center | 2055 W Army Trail Rd, Addison, IL 60101-1478 | 2016-09-26 |
| 1689942500 | Alice Marie Sartore | Nurse Practitioner | 2055 W Army Trail Rd, Addison, IL 60101-1478 | 2011-12-06 |
| 1912203209 | Maternal and Child Medical Care, S.c | Pediatrics | 2055 W Army Trail Rd, Suite 104, Addison, IL 60101-1478 | 2011-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770968398 | Renuka Shringer | Specialist | 17051 Dallas Pkwy Ste 150, Addison, TX 75001-7106 | 2015-07-24 |
| 1932317542 | Appleby and Associates, Inc. | Specialist | 14632 Stratford Ct, Addison, TX 75001-7973 | 2007-05-18 |
| 1194775585 | Gerald Joseph Fogarty | Specialist | 15303 Dallas Pkwy, Suite 170, Addison, TX 75001-4677 | 2006-05-10 |
| 1811992936 | Cameron N Carmody | Specialist | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2005-06-15 |
| 1144567637 | Cwida Inc | Specialist | 15800 Dooley Rd, Suite 100, Addison, TX 75001-4284 | 2013-01-03 |
| 1982906244 | Citywide I D Associates, Inc | Specialist | 15800 Dooley Rd, Suite 100, Addison, TX 75001-4284 | 2010-11-18 |
| 1033368352 | Dale Liaugminas, M.d. S.c. | Specialist | 303 W Lake St, #201, Addison, IL 60101-2586 | 2008-09-10 |
| 1013102524 | Cameron N. Carmody, M.d., P.a. | Specialist | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2007-09-07 |
| 1902014889 | Arete Sleep LLC | Specialist | 4490 Beltway Dr, Addison, TX 75001-3705 | 2007-05-21 |
| 1992922231 | Michael Walter Naborowski | Specialist | 1201 W Army Trail Blvd, Addison, IL 60101-3152 | 2007-04-19 |
| Find all providers in ADDISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.